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    <title>大地时贷</title>
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    <div class="container">
        <div class="navbar-header">
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                <img src="/image/logo.png" height="30px" width="150px">
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        <div id="navbar" class="navbar-collapse collapse">
            <ul class="nav navbar-nav navbar-right">
                <li class="active">
                    <img src="/image/slogan.png" height="46px" width="155px">
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</nav>

<div class="container" >
    <div class="row" >
        <div class="col-md-12" >
            <div class="form-title">
                <span class="title">完善一下信息</span>
            </div>
        </div>
        <div class="col-md-6" >
            <div class="form-left">
                <dl>
                    <dt>年 龄：</dt>
                    <dd>
                        <dl class="select" id="age">
                            <select class="selectpicker" title="请选择年龄段" data-size="3" multiple data-max-options="2">
                                <option>23周岁以下</option>
                                <option>23-55周岁</option>
                                <option>55周岁以上</option>
                            </select>
                        </dl>
                    </dd>
                    <dd class="clear"></dd>
                </dl>
            </div>
        </div>
        <div class="col-md-6" >
            <div class="form-left">
                <dl>
                    <dt>有过信用卡：</dt>
                    <dd>
                        <input type="radio" name="isCreditCard" value="Y"><label>是</label><input type="radio" name="isCreditCard" value="N"><label>否</label>
                    </dd>
                </dl>
            </div>
        </div>
        <div class="col-md-6" >
            <div class="form-left">
                <dl class="page-age">
                    <dt>所在城市：<br/><span>（工作城市或居住城市）</span></dt>
                    <dd>
                        <span class="right" >
                            <input id="address" style="color: #666;"  class="address_class" type="text" name="input_area"  placeholder="填写中文/拼音">
                            <!-- 城市浮层 -->
                            <div id = "city_divId" class="city_div" >
                                    <ul  id="city_ul_id" class="city_ul_class">
                                    </ul>
                            </div>
                        </span>
                    </dd>
                </dl>
            </div>
        </div>
        <div class="col-md-6" >
            <div class="form-left">
                <dl>
                    <dt>在该城市已居住时间或工作时间：</dt>
                    <dd>
                        <input type="radio" name="liveTime" value="Y"><label>半年以上</label><input type="radio" name="liveTime" value="N"><label>半年以下</label>
                    </dd>
                </dl>
            </div>
        </div>
        <div class="col-md-6" >
            <div class="form-left">
                <dl>
                    <dt>在该城市有过房贷：</dt>
                    <dd>
                        <input type="radio" name="hasHouseLoan" value="Y"><label>是</label><input type="radio" name="hasHouseLoan" value="N"><label>否</label>
                    </dd>
                </dl>
            </div>
        </div>
        <div class="col-md-6" >
            <div class="form-left">
                <dl>
                    <dt>名下有私家车：</dt>
                    <dd>
                        <input type="radio" name="hasCar" value="Y"><label class="cs">是</label><input type="radio" name="hasCar" value="N"><label class="cf">否</label>
                    </dd>
                </dl>

            </div>
        </div>
        <div class="col-md-6" >
            <div class="form-left">
                <dl class="c">
                    <dt>目前还在还车贷：</dt>
                    <dd>
                        <input type="radio" name="payCarLoan" value="Y"><label>是</label><input type="radio" name="payCarLoan" value="N"><label>否</label>
                    </dd>
                </dl>

            </div>
        </div>
        <div class="col-md-6" >
            <div class="form-left">
                <dl class="page-age">
                    <dt>购买过寿险保单：<br/><span>（本人购买且仍在缴费中）</span></dt>
                    <dd>
                        <input type="radio" name="hasLifeInsurance" value="Y"><label class="bds">是</label><input type="radio" name="hasLifeInsurance" value="N"><label class="bdf">否</label>
                    </dd>
                </dl>

            </div>
        </div>
        <div class="col-md-6" >
            <div class="form-left">
                <dl class="page-age bd">
                    <dt>名下寿险年保费合计：<br/><span>（可多份叠加）</span></dt>
                    <dd>
                        <input type="radio" name="lifeInsuranceTotal" value="Y"><label>2400以上</label><input type="radio" name="lifeInsuranceTotal" value="N"><label>2400以下</label>
                    </dd>
                </dl>

            </div>
        </div>
        <div class="col-md-6" >
            <div class="form-left">
                <dl class="page-age page-dis bd-dis">
                    <dt>名下寿险年保费合计：<br/><span>（可多份叠加）</span></dt>
                    <dd>
                        <label>2400以上</label><label>2400以下</label>
                    </dd>
                </dl>
            </div>
        </div>
    </div>
    <div class="form-btn ">
        <a href="javascript:;" id="btnNext0">提交申请</a>
    </div>
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